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Page 1 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 AR0020236 <br /> INVOICE Account ID <br /> Facility ID FA0012382 <br /> Date Printed 2/512004 <br /> AMERICAN MEDICAL RESPONSE RE : AMERICAN MEDICAL RESPONSE <br /> 247 CHARTER WAY <br /> 7575 SOUTHFRONT RD STOCKTON, CA 95206 <br /> LIVERMORE, CA 94551 <br /> OWNER : AMERICAN MEDICAL RESPONSE <br /> Health Amount <br /> Date Program Description — <br /> I <br /> Invoice# IN0116168—Date of invoice: 2/412004 $ 200.00 <br /> 2/4/2004 2220 SM HW GEN<5 TONSNR $ 330.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE g 24.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> Totalforthis Invoice $ 554.00 <br /> Payment Due Date 316/2004 <br /> TOTAL DUE this Billing Period $ j 554.00 <br /> DECEIVED <br /> MARCOUNTY <br /> 4 2004 <br /> SAN NVIFONIMENTA' <br /> HATH DEPARTMEISf <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> For DES/HMMP Fees For all SERVICE FEES <br /> Penalties will be added to all Permit Fees penalties will be added at the Rate of 10 <br /> at the Rate of 100•/.of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Dale 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />